Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.10 / $847.10 / $847.10	Facility		$847.10	$847.10	$847.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $847.10 / $1,300.90 / $5,258.51	Professional		$847.10	$1,300.90	$5,258.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.33 / $1,025.33 / $1,025.33	Facility		$1,025.33	$1,025.33	$1,025.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $1,025.33 / $1,025.33	Professional		$748.49	$1,025.33	$1,025.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,382.00 / $1,727.51 / $2,591.26	Professional		$1,382.00	$1,727.51	$2,591.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $516.66 / $516.66 / $1,298.24	Facility		$516.66	$516.66	$1,298.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $1,025.33 / $2,024.42	Professional		$748.49	$1,025.33	$2,024.42
United Facility/Professional Professional Modifier Low / Median / High Price $726.68 / $800.32 / $1,205.56	Professional		$726.68	$800.32	$1,205.56